– Extra-articular Reconstruction: – these type of procedures are now no longer used as the primary reconstructive method for ACL tears; – some authors feel that the extra-articular reconstruction may have a role in augmenting the intra-articular reconstruction; – references: – Biomechanics of intra-articular … Read more
– See: Watson Jones Approach – Discussion: – Smith Petersen improved & revived the anterior iliofemoral approach; – entire ilium and hip joint can be reached thru iliac part of incision; – w/ this approach there is a need for extensive detachment of tendinous insertions & retraction of muscle, … Read more
– See: – Lateral Compartment – Deep Posterior Compartment – Superficial Posterior Compartment – Compartment Syndrome: – Discussion: – anterior compartment of the leg contains tibialis anterior, EDL, EHL, and Peroneus Tertius muscles; – compartment is primarily … Read more
– See: – Anterior Approach to the Shoulder – Discussion: – with plate fixation of the humerus, the anterior approach is preferred for proximal and mid-diaphyseal frx w/ application of plate to anterolateral aspect of the humerus (see humeral shaft fractures); – interval lies … Read more
– Discussion: – pathoanatomy: – fibular collateral ligament is made up of three separate structures; – these are not as strong as medial ligaments, since lateral support of ankle is also provide by the fibula; … Read more
– Discussion: – varus deformity of the ankle may follow distal tibial fracture or distal tibial epiphyseal frx; – deformities due to distal tibial epiphyeal injuries are often progressive; – deformities due to tibial plafond injuries are usually static (from malreduction at the … Read more
– Discussion: – w/ an “isolated fibular frx,” the paramount indication of an unstable frx is lateral talar shift (which indicates deltoid ligament injury); – this is manifested radiographically as an increase in the medial clear space; – normally the medial clear space (between talus & medial … Read more
– See: Antiglide Plate – Discussion: – position of plate is dependent on level of frx, condition of overlying soft tissues, and the extent of comminution; – Posteriorly Positioned Plate: – see antiglide plate: – allows use of a thicker, stronger plate; – less risk of wound slough; … Read more
– See: Refereneces for Ankle Fractures: The Segmental Rectus Abdominis Free Flap for Ankle and Foot Reconstruction. The deltoid ligament. An evaluation of need for surgical repair. Salvage procedures for complications of total ankle arthroplasty. Diagnostic and operative arthroscopy of the ankle. An experimental approach. Acute rupture of the peroneal retinaculum. Guidelines for selective radiological … Read more
– Discussion: – select appropriately sized 6.5 mm or 7.0 mm canulated screw (threads must cross the frx site); – consider direction of maximal deformity and displacment; – guide wire insertion (for cannulated screw insertion); – K wire is inserted from deep w/ in sinus … Read more